61. Pediatric Urology - Hypospadias UCI Medical Center provides advanced healthcare services, including pediatricurology. hypospadias is a birth defect of the penis that occurs in http://www.ucihealth.com/HealthcareServices/peduro10.htm

UCI Online UCI Medical Center Home University Children's Hospital Home Search Our Site ... Pediatric Department Pediatric Urology Antoci Center for Pediatric Urology and Nephrology Pediatric Urology and Kidney DiseaseServices Bedwetting Circumcision ... Our Staff Featured Video: Dr. Alan Shanberg discusses corrective surgery for undescended testicles. A Child's Bill of Rights Hypospadias Hypospadias is a birth defect of the penis that occurs in approximately 3 out of every 1,000 newborn boys. In this case, the opening of the penis, the urethral meatus, is on the underside of the penis instead of at the tip. In mild cases, the opening is near the tip, and in severe cases, the opening may be down near the scrotum. The foreskin is also usually not fully formed on the underside of the penis, and there may be a downward bend of the penis, called chordee. Boys who are suspected of having hypospadias should not be circumcised , since the foreskin may be needed to repair the problem.

62. Center For The Study & Treatment Of Hypospadias Web site for the Department of Urology at the University of California, San Francisco. http://urology.ucsf.edu/clinicalRes/CRhypo.html

Clinical and Research Programs Overview Male Reproductive Health Center Neurourology and Male Erectile Dysfunction ... Clinical and Research Programs Mission Statement Clinical excellence in the treatment of hypospadias Research leaders in the study of hypospadias The program is composed of an integrated team of pediatric urologists, endocrinologists, epidemiologists, geneticists, pathologists and basic scientists. Clinical Overview Introduction Hypospadias is a congenital defect of the penis resulting in incomplete development of the penile urethra. The abnormal urethral opening may be any place along the shaft of the penis or may open onto the scrotum or the perineum. As the position of the urethral meatus becomes more proximal, ventral shortening and curvature during penile erection are more likely. In patients with severe hypospadias, the genitalia may look ambiguous at birth, resulting in emotional and psychological stress for parents in that the gender assignment of their baby immediately comes into question. Left uncorrected, patients with hypospadias may need to sit down to void and tend to shun intimate relationships because of the fears related to normal sexuality. Incidence Hypospadias is one of the most common congenital anomalies, occurring in approximately 1 in 250 to 1 in 300 live births. In Europe, the prevalence of hypospadias in the 1970's and 1980's has been increasing with no obvious explanation. In the United States, data from two birth defects surveillance systems has also shown an unexplained doubling in the incidence of hypospadias. (Paulozzi, Erickson et al. 1997) The U.S. study from the Centers for Disease Control is particularly intriguing in that the incidence of severe hypospadias, not just mild forms, is increasing, implying that the increase in hypospadias is not due to an increase in surveillance or reporting.

63. Hypospadias -- Topic Overview What is hypospadias? hypospadias is a male birth defect in which the openingof the tube that carries http://my.webmd.com/hw/raising_a_family/tv7721.asp

var guid_source = ""; var guid_source_id = ""; //unused var encodedurl = ""; WebMD Today Home WebMD News Center XML News via RSS Member Services WebMD University My WebMD Find a Physician Medical Info Check Symptoms Medical Library Health Tools Clinical Trials ... Women, Men, Lifestyle Who We Are About WebMD Site Map Health Topics Symptoms ... Credits Hypospadias Topic Overview What is hypospadias? Hypospadias is a male birth defect in which the opening of the tube that carries urine from the body ( urethra ) develops abnormally, usually on the underside of the penis. Depending on where the urethral opening occurs, the four types of hypospadias are: Glanular hypospadias . The urethral opening develops just below the end of the penis. This is the most common type of hypospadias. Coronal hypospadias . The urethral opening develops in the groove where the head of the penis (glans) meets the shaft. Penile shaft hypospadias . The urethral opening develops anywhere along the underside of the shaft of the penis. Perineal hypospadias . The urethral opening develops below the shaft of the penis, usually in the scrotum. This is the least common type of hypospadias, and is quite rare.

64. The Children's Hospital At Westmead - Parents - Hypospadias hypospadias is an abnormality of the penis which is usually identified at birthbut sometimes it can be missed for several years. http://www.chw.edu.au/parents/factsheets/suhyposp.htm

feedback sitemap kids health fact sheets ... PDF Version Available Hypospadias What is it? Hypospadias is an abnormality of the penis which has three features: the opening is not in the correct place - it is usually further back from the tip of the penis on the underside there is often bending or curvature of the penis ("chordee") which is more pronounced during erection the foreskin is missing on the lower half, giving a hooded or incomplete appearance. The condition is usually identified at birth but sometimes it can be missed for several years. How common is it? Hypospadias is fairly common. It occurs in approximately one in 300 boys. The incidence is increasing. What causes hypospadias? The cause is unknown. It is usually an isolated abnormality. It is not strictly an inherited trait, like eye or hair colour, but it tends to occur more frequently in families where there is a history of hypospadias. The risk of having another child with hypospadias is about 1:30 or 14% of male siblings (so you should not let it affect your family planning). Are there any associated problems with hypospadias?

65. Hypospadias: What Is Done To Correct This? hypospadias is when the opening of the penis is located below the end of the penis. http://parenting.ivillage.com/newborn/nhealth/0,,3qj2,00.html

var iv_cimsUid = "101282"; var iv_cimsCid = "129331"; var iv_createDate = "01/01/2000"; var iv_lastModDate = "06/25/2001"; // Tacoda category stamp var dartCatStamp = "parenting_newborn_nhealth"; Tacoda_AMS_DDC_addPair("dartCatStamp", dartCatStamp); var iv_secondarytopicID = 129331; @import "/shared/css/global/0,,,00.css"; @import "/shared/css/layout/0,,layout_article,00.css"; @import "/shared/css/content/0,,qa,00.css"; @import "/shared/css/channel/0,,12,00.css"; Skip to Main Content iVillage Entertainment Magazines iVillage web Newborn Health Trying to Conceive Fertility Planner ... more newsletters Hypospadias: What is done to correct this? by Robert Steele, MD (see more from this expert) Email this page Print Stuffy nose: Normal ... Baby Skin Care [article] Newborn respiratory distress Caring for a Baby with Vomiting and... [article] Immunization Schedule [article] We had a micro-preemie (25 weeks - 1 lb 7.4 oz) and are very fortunate that he is doing very well. What we need information on is hypospadias. What is the anticipated surgery and recovery times? Is there anything we need to look out for or be aware of post-surgery? I know this depends on the severity (our son is not severe, I believe a grade 2), but what is the likelihood of multiple surgeries? As you know, the normal position for the opening of the penis is located at about the center of the tip of the head (or glans). Hypospadias is when the opening of the penis is located below the end of the penis. It may be just below the tip of the penis or down as far as the scrotum. Hypospadias occurs somewhere in the neighborhood of 1 in every 300 male births, and fortunately, about 90% are of the minor variety. In other words, the vast majority have the opening just under the center of the head or just below the ridge of the head of the penis.

66. Hypospadias Maternal ingestion of progestational agents in early pregnancy. Synonyms ICD9-CM752.61 hypospadias (male) Author(s) Mark R. Dambro, MD. http://www.5mcc.com/Assets/SUMMARY/TP1073.html

Hypospadias DESCRIPTION: A congenital anomaly, occurring in 0.5% of males. The urethra exits at an abnormal position along the ventral midline of the penis. CAUSES: Thought to be secondary to an unknown defect in androgen action Maternal ingestion of progestational agents in early pregnancy Synonyms: ICD-9-CM: 752.61 Hypospadias (male) Author(s): Mark R. Dambro, MD

67. Hypospadias hypospadias is a birth defect found in boys in which the penile meatus is not atthe tip of the penis. http://mens-health.health-cares.net/hypospadias.php

68. Center For Reconstructive Urology: Hypospadias The Center for Reconstructive Urology, located at the University of California,Irvine (UCI), provides tertiary care to patients who require referral for http://www.urethralstricture.com/hypospadias.html

@import "/styles.css"; HOME OUR PHYSICIANS RECONSTRUCTIVE UROLOGY FOR ... CONTACT US HYPOSPADIAS Hypospadias is a birth defect of the male urethra. The opening of the urethra appears along the undersurface of the penis instead of the tip of the head of the penis. Boys with hypospadias may also have a downward curvature of the penis with erections (a condition called chordee) and a "hooded" foreskin, where the foreskin is present along the top of the penis but not along the bottom. TREATMENT OPTIONS Surgery for hypospadias moves the urethral opening to the tip of the penis, its normal location, and corrects downward curvature. The choice of surgical technique is made on a case-by-case basis. There are several techniques, including using skin from the top of the penis as a flap to reshape the uretha, and placing an incision to open up the urethra along the top while closing the opening along the bottom of the penis (the Snodgrass repair). We often manage patients who have had repairs that have failed. Sometimes the urethral openings are still not placed correctly, and there is also not enough skin to use in the reconstruction of the urethral opening. This condition requires a complex approach that may include the use of skin grafts from other parts of the body. Although these repairs are more involved, they show a high success rate. Format for printing HOME OUR PHYSICIANS RECONSTRUCTIVE UROLOGY ... send email

69. Urology | Hypospadias | Hypospadias hypospadias are deformities of the penis resulting from incomplete There isa family tendency towards hypospadias, with an increased incidence noted in http://www.ucsfhealth.org/childrens/medical_services/urology/hspadias/conditions

University of California, San Francisco About UCSF Search Welcome Hospitals and Clinics Appointments Billing ... Events and Classes Hypospadias Hypospadias Signs and Symptoms Diagnosis Treatment Signs and Symptoms Hypospadias are deformities of the penis resulting from incomplete development of the urethra, the tube that carries urine from the bladder to the penis. It can occur in many different ways, including: Opening of the urethra below the tip on the bottom side of the penis Abnormal appearance of the glans penis (the tip) Incomplete foreskin in which the foreskin extends only around the top of the penis Curvature of the penis during an erection (called chordee) Buried penis Abnormal position of scrotum with respect to penis This condition is second only to undescended testes as a congenital abnormality affecting a boy's genitalia. It occurs in 1 in 250 to 300 males born in the United States. There is a family tendency towards hypospadias, with an increased incidence noted in boys whose father or brothers have hypospadias. Other than inherited cases, the cause usually isn't known. Problems resulting from hypospadias include deviation of the urinary stream, cosmetic and psychological considerations, and potential adverse effect on sexual functioning. The best time to repair hypospadias is between the ages of 6 to 15 months, when the psychological effects of genital surgery are minimal. At UCSF, hypospadias repair is done exclusively on an outpatient basis, minimizing separation of the child from parents and reducing the cost of the procedure.

70. Urology | Hypospadias | Post-Operative Instructions For Hypospadias Repair PostOperative Instructions for hypospadias Repair. If your child undergoeshypospadias repair, your child will most likely be discharged from the hospital http://www.ucsfhealth.org/childrens/medical_services/urology/hspadias/hypospadia

University of California, San Francisco About UCSF Search Welcome Hospitals and Clinics Appointments Billing ... Events and Classes Hypospadias Print Format Post-Operative Instructions for Hypospadias Repair If your child undergoes hypospadias repair, your child will most likely be discharged from the hospital the same day as the surgery. If you are traveling a long distance, we will help you make arrangements to spend a night in a local hotel so you can be near if questions or problems arise. Then, you can return home rested the next day. Catheter Your child may be discharged with a catheter. If your child wears a diaper, the catheter will drain into his diaper. If your child is older, the catheter will drain into a bag on his leg. Urine may leak around the tube or spurt through the tube. This is common and is not a problem, as long as most of the urine drains through the tube. Excessive leaking might indicate the tube is blocked. If you suspect this, or if the tube comes out, call the Pediatric Urology office at UCSF Children's Hospital at (415) 353-2200. The tube may cause bladder spasms while your child is sleeping. He may arch his back, bring his knees up to his chest and urine may squirt through or around the tube. Spasms aren't harmful, but may be uncomfortable. A spot or two of blood on the diaper is normal. Don't apply powder or ointments to the genital area. If your child has loose bowel movements and soils his surgical dressing, clean it gently with soapy water and a washcloth, away from his penis.

71. Acute Cystitis In Pregnancy Urology Pediatrics Penis hypospadias. Complications 515% (highest forposterior hypospadias); Urethrocutaneous fistula or Urethral diverticulum http://www.fpnotebook.com/URO75.htm

Home About Links Index ... Editor's Choice document.write(code); Advertisement Urology Obstetrics Infectious Disease Acute Cystitis in Pregnancy Pyelonephritis in Pregnancy Acute Cystitis in Pregnancy Asymptomatic Bacteriuria in Pregnancy UTI in Pregnancy Book Home Page Cardiovascular Medicine Dentistry Dermatology Emergency Medicine Endocrinology Gastroenterology Geriatric Medicine Gynecology Hematology and Oncology HIV Infectious Disease Jokes Laboratory Neonatology Nephrology Neurology Obstetrics Ophthalmology Orthopedics Otolaryngology Pediatrics Pharmacology Practice Management Prevention Psychiatry Pulmonology Radiology Rheumatology Sports Medicine Surgery Urology Chapter Urology Index Bladder Endocrinology Examination Hematology and Oncology Infectious Disease Impotence Incontinence Laboratory General Obstetrics Pediatrics Penis Pharmacology Prevention Procedure Prostate Radiology Nephrology Surgery Symptom Evaluation Testes Urine Page Obstetrics Index ID Cystitis ID Pyelonephritis See Also Urinary Tract Infection Pyelonephritis in Pregnancy Epidemiology Asymptomatic Bacteriuria in 2 to 7% of pregnancies Significant cause of Preterm Labor Etiology Escherichia coli (most common) Klebsiella Proteus miribilis Pseudomonas aeruginosa Enterobacter Staphylococcus saprophyticus Enterococcus Group B Streptococcus History Dysuria Urinary Frequency Urinary Urgency Suprapubic pain Symptoms suggestive of Pyelonephritis Flank pain Fever Nausea or Vomiting Past Medical History Kidney stone s Cyst itis Pyelonephritis Sickle Cell Trait Predisposes to Pyelonephritis Signs of cystitis (Contrast with

72. What Is Hypospadias? hypospadias is the medical word for a condition in which the urinary opening Some cases of hypospadias are very minor and others are more complex. http://www.fha.state.md.us/genetics/html/hypo_qa.html

Center for Cancer Surveillance and Control Council on Physical Fitness Genetics and Children Center for Maternal and Child Health Center for Preventive Health Services Child and Adolescent Health Health Promotion, Education Oral Health Deer's Head Center Western Maryland Center GENETICS HOME Newborn Screening Genetic Counseling Infant Hearing Screening ... Contact Us Hypospadias, Questions and Answers What is hypospadias? Hypospadias is the medical word for a condition in which the urinary opening (meatus) does not form as usual while a baby is growing before birth. It is one of the most common birth defects in boys, with approximately 8 out of 1,000 male newborns being affected. Rarely, it can occur in girls too, but is not as obvious. This brochure will discuss hypospadias in boys. Some cases of hypospadias are very minor and others are more complex. In a normal male, the urinary opening is usually exactly in the middle of the penis at the tip. The pictures below show the normal location of the opening and the different places where the opening might occur in boys with hypospadias.

73. Hypospadias Epispadias, which is less common than hypospadias, may also be seen in In contrast to hypospadias, with epispadias, the urethral opening in male is http://www.chw.org/display/PPF/DocID/2613/router.asp

Circumcision Hydrocele Hypospadias Inguinal Hernia ... Overview of the Male Anatomy : Hypospadias E-mail this page Print this page Hypospadias Epispadias, which is less common than hypospadias, may also be seen in children with spina bifida or exstrophy of the bladder (a condition where the bladder may appear to be inside out and the abdominal wall is partially open leaving the bladder exposed to the exterior of the body), occurs when the urethral opening is in an abnormal location. In contrast to hypospadias, with epispadias, the urethral opening in male is usually located on the topside (not the underside or tip) of the penis. What is hypospadias? Hypospadias is a malformation that affects the urethral tube and the foreskin on a male's penis. The urethra is the tube that carries urine from the bladder to the outside of the body. Hypospadias is a disorder in which the male urethral opening is not located at the tip of the penis. The urethral opening can be located anywhere along the urethra. Most commonly with hypospadias, the opening is located along the underside of the penis, near the tip. What causes hypospadias?

74. Hypospadias Repair By Robert Finkbeiner CecilCulp procedure for repairing hypospadias (where the opening of the penishas failed to develop in the proper place) without chordee (bending of the http://finkbeiner.com/Surgical/hyposp.html

Hypospadias Repair Cecil-Culp procedure for repairing hypospadias (where the opening of the penis has failed to develop in the proper place) without chordee (bending of the penis due to overly tight skin on the underside of the penis). Watercolor and airbrush on CS-10, Adobe Photoshop All images

75. Hypospadias Surgery In Children University of Texas Southwestern Medical Center at Dallas. http://www8.utsouthwestern.edu/utsw/cda/dept10807/files/67409.html

Advanced Search document.write(hashTable['Home'].parentMenu) Home Research Urology Hypospadias Surgery in Children Home Clinical Trials Research Facilities Basic Science Research ... Urology Health Care Professionals Hypospadias affects between one and 150 to 300 newborn males, making it one of the most common birth defects. Essentially all these infants will benefit from reconstructive surgery to position the urinary meatus at the tip of the glans, and create as cosmetically normal-appearing penis as possible. Worldwide attention currently is focused on a relatively new surgical technique, the tubularized incised plate urethroplasty, which was originally described by Dr. Warren Snodgrass. We are investigating ongoing use of this operation, especially for proximal and re-operative hypospadias surgery. We also are studying long-term outcomes in patients with all degrees of hypospadias who were operated on more than three years ago. In addition, we are interested in repair of boys who have had multiple failed hypospadias operations in the past and are using a staged approach that may offer the opportunity to achieve satisfactory functional and cosmetic outcomes in this more challenging set of patients. Return to Clinical Research in Pediatric Urology Minimally Invasive Laparoscopic Pediatric Urologic Surgery Management of the Neurogenic Bladder in Children Voiding Dysfunction in Children ... Urinary Stone Disease in Children Research interests Principal Investigators: Linda Baker, M.D.:

76. Introduction: Hypospadias - WrongDiagnosis.com Introduction to hypospadias as a medical condition including symptoms, diagnosis,misdiagnosis, treatment, prevention, and prognosis. http://www.wrongdiagnosis.com/h/hypospadias/intro.htm

Home Symptoms Diseases Risks ... Diseases Search our medical database Subscribe to our free Newsletter sample Send this page to a friend Condition Lists By Organ By Symptom By Class By Prevalence ... List A-Z Current chapter: Hypospadias Next sections Basic Summary for Hypospadias Symptoms of Hypospadias Misdiagnosis of Hypospadias Treatments for Hypospadias ... Doctors and Medical Specialists for Hypospadias Next chapters: Epispadias Feminisation Masculinisation Glossitis ... Feedback Introduction: Hypospadias Hypospadias: Congenital defect with misplaced urinary opening Researching symptoms of Hypospadias: Further information about the symptoms of Hypospadias is available including a list of symptoms of Hypospadias , other diseases that might have similar symptoms in differential diagnosis of Hypospadias , or alternatively return to research other symptoms in the symptom center Misdiagnosis and Hypospadias: Research more detailed information about misdiagnosis of Hypospadias , or research misdiagnosis of other diseases Treatments for Hypospadias: Various information is available about treatments available for Hypospadias , or research treatments for other diseases.

77. Hypospadias Definition - Medical Dictionary Definitions Of Popular Medical Terms Online Medical Dictionary and glossary with medical definitions. http://www.medterms.com/script/main/art.asp?articlekey=7846

78. Claritin Cleared Of Birth Defect Hypospadias - Allergies: Allergy Symptoms, T Allergy information includes articles on allergies, symptoms, treatment, medications,food allergies, and allergy relief. http://www.medicinenet.com/script/main/art.asp?articlekey=31597

79. FamilyFun: Health Encyclopedia: Hypospadias An excerpt on hyposadias (congenital defect of the penis) from the DisneyEncyclopedia of Baby and Child Care. http://familyfun.go.com/parenting/child/health/childhealth/dony79enc_hypos/

Browse site by Classic Themes Barnyard Pals Cars and Trucks Fairy-Tale Princesses Pirates Under the Sea Search FamilyFun Tools My Great Idea Parent Problem Solver Field Guide to Parenting ... Solutions A to Z Hypospadias In this congenital defect of the penis, the tube that passes urine from the bladder to the outside of the body (the urethra) opens on the underside of the penis or in the scrotum, instead of the end of the penis. In addition, bands of fibrous tissue on the underside of the penis often give it a sharp, downward curvature called chordee. Occasionally, boys with hypospadias also have other, less readily apparent, abnormalities of the urinary tract. To detect such abnormalities, the pediatrician may recommend an examination of the entire urinary system including the kidneys and bladder by means of special X-ray or imaging studies. HOW DOES HYPOSPADIAS DEVELOP? Hypospadias is a developmental defect originating in the fetus. Until the sixth week of embryonic life, rudiments of both male and female productive systems are present in the fetus. By eight weeks, the penis and urinary structures begin to form in the male fetus. The urethra develops as folds of tissue along the underside of the penis fuse together. Disruption of this fusion causes the urethral opening to form at an abnormal site. WHAT TREATMENTS ARE AVAILABLE?

80. Virtual Children's Hospital: Urology: Pediatric Urology: Hypospadias hypospadias is one of the most common conditions referred to a pediatric urologist . The foreskin on a penis with hypospadias is also abnormal. http://www.vh.org/pediatric/patient/urology/faq/hypospadias.html

Urology What is Hypospadias? Christopher S. Cooper, M.D., Pediatric Urologist Peer Review Status: Internally Peer Reviewed First Published: January 2000 Last Revised: May 2000 What is hypospadias? Hypospadias is one of the most common conditions referred to a pediatric urologist. It is a condition where the urinary channel in a boy (called the "urethra"), does not come out at the tip of the penis. The cause is usually not known, although it does occur in some families. About 1 out of every 300 boys is born with this condition. The opening to the urinary channel may come out anywhere along the undersurface of the shaft of the penis or even as far back as beneath the scrotum. The foreskin on a penis with hypospadias is also abnormal. Frequently, a bend in the penis toward the boy's feet occurs with hypospadias. Is surgery necessary? If the opening of the hypospadias is out along the shaft, and the penis is straight, the only reason to operate is to make it look normal. If the opening of the urethra is further back on the penis or scrotum, or if it has a severe bend in it, then it may interfere with urination, sexual intercourse and fertility. When should surgery be performed?

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